本文選題：SEM + 醫(yī)師多點(diǎn)執(zhí)業(yè)�。� 參考：《南京中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：經(jīng)濟(jì)的快速發(fā)展既提高了人民的生活水平,滿足了人們的物質(zhì)需求,同時(shí)也帶來了醫(yī)療服務(wù)需求的增加。國家陸續(xù)出臺(tái)相關(guān)衛(wèi)生政策,最終目的是實(shí)現(xiàn)全民健康覆蓋。新醫(yī)改以來,我國公共醫(yī)療服務(wù)在某些方面雖取得了成效,但不可回避的是“看病難”等問題仍然沒有良好解決,其中較為明顯的就是我國醫(yī)療資源存在分配不均等的問題,特別是優(yōu)質(zhì)的醫(yī)師資源,高度壟斷等問題突顯。醫(yī)師作為醫(yī)院提供服務(wù)的核心和主體,承擔(dān)著保障人民健康的重任,醫(yī)師多點(diǎn)執(zhí)業(yè)恰好是滿足人們醫(yī)療需求,保證人人享有公平醫(yī)療服務(wù)的有力舉措。因而,探索我國醫(yī)師多點(diǎn)執(zhí)業(yè)運(yùn)行現(xiàn)狀、存在問題、提出優(yōu)化策略等具有十分重要的意義。首先,本文在文獻(xiàn)與理論研究的基礎(chǔ)提出了醫(yī)師多點(diǎn)執(zhí)業(yè)過程中的政策因素、組織因素、人員因素與實(shí)施效果和醫(yī)師多點(diǎn)執(zhí)業(yè)行為之間作用關(guān)系的理論假設(shè),并以此為基礎(chǔ)上提出了醫(yī)師多點(diǎn)執(zhí)業(yè)影響因素對(duì)醫(yī)師多點(diǎn)執(zhí)業(yè)行為影響的結(jié)構(gòu)模型。其次,本研究根據(jù)理論假設(shè)設(shè)計(jì)問卷,通過問卷的信度、效度分析對(duì)變量進(jìn)行了篩選,利用SPSS 16.0對(duì)數(shù)據(jù)進(jìn)行了描述性統(tǒng)計(jì)分析,并用AMOS 20.0對(duì)理論模型進(jìn)行了實(shí)證檢驗(yàn)。描述性統(tǒng)計(jì)分析發(fā)現(xiàn),醫(yī)師多點(diǎn)執(zhí)業(yè)行為能力有待加強(qiáng),在多點(diǎn)執(zhí)業(yè)過程中有切實(shí)的需求。結(jié)構(gòu)方程模型分析表明,醫(yī)師多點(diǎn)執(zhí)業(yè)政策因素、醫(yī)師多點(diǎn)執(zhí)業(yè)組織因素、醫(yī)師多點(diǎn)執(zhí)業(yè)人員因素對(duì)醫(yī)師多點(diǎn)執(zhí)業(yè)實(shí)施效果存在直接影響,并通過其中介作用對(duì)醫(yī)師多點(diǎn)執(zhí)業(yè)行為起間接作用。最后,根據(jù)理論和實(shí)證研究結(jié)果,本文從政策配置、組織配置和人員配置三方面提出醫(yī)師多點(diǎn)執(zhí)業(yè)的優(yōu)化策略。
[Abstract]:The rapid development of economy not only improves people's living standard, meets people's material demand, but also brings the increase of medical service demand. National health policies have been introduced, the ultimate goal is to achieve universal health coverage. Since the new medical reform, although the public medical service of our country has made achievements in some aspects, it cannot be avoided that the problems such as "difficult to see a doctor" have not been solved well, among which the more obvious problem is that the distribution of medical resources in our country is not equal. In particular, high-quality physician resources, high monopoly and other issues highlighted. Doctors, as the core and main body of hospital service, undertake the important task of protecting people's health. Doctors' multi-point practice is a powerful measure to satisfy people's medical needs and ensure that everyone has fair medical service. Therefore, it is of great significance to explore the status quo of multi-point practice of doctors in China, existing problems, and put forward optimization strategies. First of all, on the basis of literature and theoretical research, this paper puts forward the theoretical hypothesis of the relationship between the policy factors, organizational factors, personnel factors and the effect of the practice and the practice behavior of doctors in the process of multipoint practice of doctors. On this basis, the structural model of the influence factors on doctors' multipoint practice behavior is put forward. Secondly, the questionnaire is designed according to the theoretical hypothesis. The variables are screened by the reliability and validity analysis of the questionnaire, the data are analyzed by SPSS 16.0, and the theoretical model is tested by AMOS 20.0. Descriptive statistical analysis shows that the capacity of multipoint practice needs to be strengthened and there is a practical demand in the process of multipoint practice. The structural equation model analysis shows that the factors of doctors' multi-point practice policy, doctors' multi-point practice organization and doctors' multi-point practicing personnel have direct influence on the effect of doctors' multi-point practice. And through its intermediary role to doctors practice behavior plays an indirect role. Finally, according to the theoretical and empirical research results, this paper puts forward the optimization strategy of doctors' multi-point practice from the aspects of policy allocation, organizational configuration and staffing.
【學(xué)位授予單位】：南京中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R197.1

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